OrganizationActive
White Earth Band of Chippewa
NPI 1558463877 · Substance Abuse Rehabilitation Facility · Mahnomen, MN
Provider details
- NPI number
- 1558463877
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Patricia Moran, Chemical Dependency Coordinator(218) 983-3285
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2388 State Hwy 200
Mahnomen, MN 56557
Phone: (218) 936-5653
Fax: (218) 936-5655
Street-level locationGet directions
Mailing address
Po Box 359
Mahnomen, MN 56557-0359
Other names (DBA / former)
- Doing business as
- White Earth Womens Welbrity Center
Registry dates
- Enumerated
- 2006-09-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.